Page 41 - The Beauty and Sorrow in Endodontics-Chapter 2

Fig 27K
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The widened PDL at 46 distal has also
returned to normal.

Fig 27L Fig 27M

1-year post-op – The patient returned 3-years post-op
due to increased mobility and abscess Complete reformation of lamina dura
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around tooth #46, the principal dentist around 45 and 46.

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removed the loosened 46 crown and

determined that the problem
originated from tooth 45.
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1
S Age/Gender: 50M
CC: “Swelling on my gum”

HCC: Patient reports gingival swelling beside tooth 46 that started a few days
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ago.

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O I/O: Abscess on the distobuccal gingiva of tooth 46 (Fig 27A)
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46 STP (+), APT (+), PD 5~6mm at DB/DL
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Rad: Sinogram with gutta percha cone points to 46 mid distal root (not apex)

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